Human Chorionic Gonadotropin (HCG)
HCG Trigger Shot
Human Chorionic Gonadotropin (HCG) is a hormone that is typically produced in a pregnant woman’s placenta. HCG also stimulates the release of the egg during ovulation and the development of the egg. During the process of trying to conceive, your doctor will take an ultrasound to obtain the size of the follicles after taking fertility medications such as Femara, Clomid or Injectables. You will receive an HCG trigger shot to induce ovulation if there are mature follicles present. This injection is about 5,000 to 10,000 units per syringe that is injected into a muscle such as the hip or some people say their butt. After receiving this injection, ovulation should occur with in 24-36 hours.
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HCG trigger shots contain the same hormone that is also produced during pregnancy. After fertlization it is made by the placenta, which nurishes the egg. Therefore the symptoms can mimic signs of pregnancy. This can drive you crazy during the two-week wait (2WW) after receiving the trigger shot and IUI such as myself. If one gets too far ahead of themselves and take a pregnancy test too early, you can get a false positive. The HCG levels are too high after the injection and it would be useless to test this soon. We took a blood test to determine pregnancy at our doctors office.
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Some side effects of HCG trigger shot include:
· headache
· water retention
· fatigue
· sore breasts
· abdominal discomfort
· irritability
Women who are suffering from an ovulation, PCOS, and irregular periods will benefit most from HCG injections. And the cost per ampule (vial) is about $35-$75. Our office charged $60 when she received my first trigger shot, however some insurance companies may cover the cost. HCG is very successful at inducing ovulation. More than 90% of women taking HCG will begin to ovulate. Pregnancy rates are around 15% per cycle. Pregnancy rates also increase with the use of IUI. We’re not sure how the sperm missed the egg. We wish we could have had a small camera in her uterus to see what happened. I know she definitely ovulated due to the pains on the right side of her abdomen for 6 hours straight. We will be starting over and repeating this procedure during her cycle.
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References
American Pregnancy Association. (2007). Human Chorionic Gonadotropin (hCG): ThePregnancy Hormone. Retrieved from http://www.americanpregnancy.org/duringpregnancy/hcglevels.html
Drugs.com (2010). What is HCG? Retrieved from http://www.drugs.com/hcg.html
